Estimulación cerebral profunda combinada del núcleo subtalámico y el globo pálido interno en la enfermedad de Parkinson.

Autores de IIS La Fe

• Marina Campins Romeu

  Autor

• Isabel Sastre Bataller

  Autor

• Rebeca Conde Sarrión

  Autor

• Raquel Baviera Muñoz

  Autor

• Carlos Morata Martínez

  Autor

• Antonio Joaquín Gutiérrez Martín

  Autor

• Irene Martínez Torres

  Autor

Participantes ajenos a IIS La Fe

• Freire-Álvarez E

Abstract

INTRODUCTION: Subthalamic nucleus (STN) and globus pallidus internus (GPi) deep brain stimulation (DBS) are the main surgical approaches for advanced Parkinson's disease. Stimulation is usually applied bilaterally in the same brain structure. However, when various motor symptoms concomitantly present in the same patient, simultaneous modulation of different brain structures may be a suitable alternative. CASE REPORT: We present a patient with advanced Parkinson's disease with a combined DBS neurosurgery. Left STN DBS optimally controlled the off right hemibody symptomatology while left side troublesome dyskinesias were successfully relieved by right GPi stimulation. DISCUSSION: Combined STN/GPi stimulation can be considered a suitable approach when challenging motor symptomatology arises in advanced Parkinson's disease patients.

Keywords

• Combined; Deep brain stimulation; Globus pallidus internus; Neuromodulation; Parkinson's disease; Subthalamic nucleus